Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mitava Dipesh Thakkar, DO

Individual provider Psychiatry Physician · NPI 1003658204

Dr. Mitava Dipesh Thakkar, DO is a Psychiatry Physician in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2501
Phone: (217) 365-2855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 125.084241 (IL)

Record details

NPI number1003658204
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 10, 2024
Certification dateJune 9, 2024
Mailing address1322 Norwell Ct, Schaumburg, IL 60193-2539

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